Inspection on 20/07/05 for Inglewood Nursing Homes Ltd

This inspection was carried out on 20th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Inglewood Nursing Homes Ltd 28/05/09

Inglewood Nursing Homes Ltd 25/05/07

Inglewood Nursing Homes Ltd 06/01/06

Inglewood Nursing Homes Ltd 18/01/05

Inglewood Nursing Homes Ltd 21/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Inglewood 7 - 9 Nevill Avenue Hampden Park Eastbourne East Sussex BN22 9PR Lead Inspector Debbie Calveley Unannounced 20 July 2005 07:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Inglewood Address 7 - 9 Nevill Avenue Hampden Park Eastbourne East Sussex BN22 9PR 01323 501086 01323 500102 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Inglewood Nursing Homes Ltd Mrs Catherine Mary Duggleby Care Home with nursing 60 Category(ies) of Old age, not falling within any other category registration, with number (OP) 60 of places Physical disability 60 Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is sixty (60). 2. Service users must be aged sixty-five (65) years and over on admission. 3. Service users may have a physical disability and be aged forty-five (45) and over on admission. Date of last inspection 18 January 2005 Brief Description of the Service: Inglewood is a registered care home providing nursing care for sixty residents, who meet the registration category of elderly and physically disabled. On the day of the unannounced inspection there were fifty- nine residents in residence, one of whom was in hospital. The accomodation offered consists of fifty single rooms of which twenty-seven have an ensuite facility, five double rooms one of which has an ensuite facility. There are ample communal bathrooms with specialist equipment to ensure the safety of residents whilst bathing. The home has the necessary specialist equipment required to meet the varied needs of residents, including hoists, air matresses and cushions. There is level access to all parts of the home by passenger lifts. The home is well maintained internally and externally, with well-tended gardens that are accessible for wheelchair users.The home is situated in a residential area of Hampden Park, near to an attractive park and the local shops. There are public transport amenities close to the home. Inglewood is set back from the road and has parking facilities to the front for approximately ten cars. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20 July 2005. It commenced at 07.10 am, and took place over seven hours. There were fifty-nine service users in the home at this time. The methodology of the inspection included a tour of the building, inspection of documentation and records, the delivery of care for twelve residents and informal interviews with fourteen residents, three relatives and eleven members of staff. What the service does well: What has improved since the last inspection? The home continues to look at ways to improve the meal service to ensure that every resident receives a hot and tasty meal. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 6 The home has audit systems in place to monitor standards and to supervise staff. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 & 5. The comprehensive Statement of Purpose and Service Users Guide give prospective residents the information required to enable them to make an informed choice about where they live. A contract/statement of terms and conditions is given to all residents on admission, which confirms the facilities offered and care agreed. A pre-admission assessment is undertaken on all prospective residents before admission to ensure the home can offer them the care they require. EVIDENCE: The Statement of Purpose and Service Users Guide were viewed, it was found to be up to date and contained information that prospective residents need to make an informed choice of where to live. Inglewood also has a website which is informative and is kept up to date. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 9 There is a written contract/statement of terms and conditions that all residents receive on admission to the home. This contract is confirmation of the room booked, the type of admission, either respite or permanent and the fees to be paid. An assessment tool, which covers all the needs as defined in standard 3.3 is in use, which is used for all prospective residents. Twelve pre-admission assessments were viewed, and were found fully completed and informative. The assessment takes place at the prospective residents’ place of residence, and involve the relatives whenever and input from other relevant professionals is sought when required. Six residents spoken with said they remembered someone from the home coming to see them before they left hospital and felt it was helpful to have met someone from the home before they arrived. Two residents could not remember being involved, but thought that their families had been involved at the time. As previously mentioned the pre-admission assessment identifies any specific needs of the prospective resident and this informs the admission process. These can then be discussed with the resident and their representative to ensure that the home can meet their needs. The Statement of Purpose also gives information regarding the services they provide. Prospective residents can visit the home to meet residents, to look at rooms that are available and the facilities provided before they make any decision regarding accepting a place. Unplanned admissions are avoided whenever possible but should they occur, then an assessment is undertaken within forty eight hours and a GP is requested to visit as soon as possible. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10. All residents have an individual care plan, which meets their health, social and recreational needs. The medication systems in place are well-managed promoting good health and the safety of the residents. The residents are treated with respect and courtesy in all aspects of their care. EVIDENCE: Twelve care plans were viewed, and were found to be clear and informative. All were found to have a comprehensive plan of care, which is generated from the initial pre-admission assessment. The care plans clearly identify the specific health, personal and social care needs of the residents. The care plans and risk assessments were clear and were seen to have been updated on a regular basis. There is evidence of resident/representative consultation in individual plans. Five residents said they had been involved in the discussions regarding their care plan, one said that she had not been consulted, but her daughter had, Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 11 and that it had been her choice at the time. The son of one resident said he visited everyday and that he was kept informed of all aspects of his mothers’ care. From the information gathered from the care plans and then meeting those residents, it was found that the health needs of the service users were met. Specialist equipment was found in place where required, e.g air mattresses, cushions and various hoists with different slings. One resident said “staff were very thoughtful” and always made sure she had everything she needed” as she was unable to leave her bed. Another said that she felt she “was well looked after”. Another said, “ Inglewood is my home, though of course I would rather be in my own home, but they look after me and my room is lovely”. The medication trolleys were clean and tidy and appropriately stored, the equipment well-maintained. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and room are recorded daily and of an acceptable temperature to maintain dressings and medications. The Medication Administration Charts were found correctly completed in the main, a few signatures were noted to be missing, however the home has put in place systems to identify shortfalls and this demonstrates that staff are identifying and tracking the shortfalls, ensuring that the medication had been administered. A self-administering policy is in place, and there is one resident who self-medicates her medication. Throughout the inspection it was observed that residents were treated with dignity and respect. One relative said that “ the staff always showed respect and kindness to the residents and that the staff were friendly”. A resident remarked that” she felt the staff respected her feelings and that she felt safe”. Residents that were in need of assistance with feeding and drinking were seen to be assisted with dignity and respect. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15. The residents are enabled to exercise the choice and control of their every day life. The activities in the home meet the individual preferences of the residents. The dietary needs of residents are well catered for and offer a balanced and varied selection of food that has been updated in line with the personal likes and choices of residents. EVIDENCE: All residents spoken to, were aware of the activities offered and were complimentary regarding the range provided, and all that attended thoroughly enjoyed them. An activity programme is in place and demonstrates a variety of events, which are scheduled to take place over the forthcoming month. The activity programme is given to all residents on a monthly basis and these were seen in the resident’s rooms. One resident said that she “personally did not attend all the activities, has attended the exercise classes but they are all for arms and she would like lower body exercises, she does attend the music sessions, but she prefers to listen to classical”. Another resident said,” I get the list of activities but chose not to attend, I am happy with my life and am very lucky”. It was confirmed by talking to residents that the routines of daily living have a degree of flexibility; residents can request meals at a different Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 13 time if they are going out and in their preference for getting up and for going to bed. One resident said she “liked to stay in bed for breakfast, and then rings when she is ready to get up, she said sometimes she may have to wait but usually she is accommodated and assisted when she rings”. Another said that There is open visiting and two relatives said they were welcomed to the home, whenever they visited. she “was very lucky to find a home that really is her home and she lives her life as she wants with support from the staff”. One son said the “staff are all very good, always made him welcome and kept him informed of his mothers’ condition. One relative mentioned that when he arrives he is met by a member of the ‘hotel services’ who takes him to where his relative is and offers him refreshment, he feels that this is a nice touch and makes him feel welcome”. Residents are able to handle their own finances if they wish to, and if they are able. In every bedroom there is a lockable facility to safeguard valuables. All residents are made aware of an advocacy service provided by Age Concern. Four residents were aware of this service. Furniture and other belongings are welcomed by the home if the resident wishes to bring them with them. Certain rooms have been personalised. The menus are distributed to all residents a week in advance and are also on display in the dining rooms. They demonstrated choice and variety and were indicated a well balanced diet. The menus rotate on a four weekly basis and change according to the seasons. Fresh fruit was available in the dining areas. The residents were forthcoming in their views of the food, and the majority said the choice was good and the food was always tasty. One resident said that she chooses her meals weekly, but does not remember what she is having. Three other residents said they “choose their meal, but don’t always remember what they chose”, but said “the food is good”. Another resident remarked “that the food is second to none, but always knew when the second chef was on”. It was discussed at the time of inspection of ways to remind residents of what they have chosen, and this will be looked at. One resident mentioned the theme nights were always good”. The dining areas are pleasant and well furnished with natural light and the tables are positioned to create a congenial atmosphere. The more heavily dependent residents were seen being assisted with their meal, in the lounge/ dining area unhurried and with respect. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The complaint procedure is clearly detailed in the Statement of Purpose and Services Users guide and is available to residents and their families enabling them to share their concerns formally and confidentially. Staff interviewed had a good understanding and knowledge of Adult Protection policies and procedures, which protect the residents from harm and abuse. EVIDENCE: There are appropriate policies and procedures are in place and it was confirmed that these are followed when investigating any concerns raised at the home. The staff interviewed were knowledgeable of the complaint procedure and of how to start the process if the manager is not available. Two of the residents referred to the service users guide when asked if they knew how to make a complaint, whilst one resident said she didn’t know of a proper procedure, but would go the senior nurse and that it would be dealt with”. There have been no complaints received by the CSCI. The Adult Protection policy in the home was found to be up to date and staff interviewed were knowledgeable about the systems in place to protect vulnerable service users. There is on-going training for all staff in adult Protection. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 & 26. The home provides a comfortable, clean and safe environment for those living there and for those visiting. Residents are enabled and encouraged to personalise their room, and rooms are homely and reflect the residents personalities and interests. There is specialist equipment in the home for residents’ use to maximise their independence. EVIDENCE: The home is well furnished with good quality co-ordinated furniture. The residents are encouraged and enabled to personalise their rooms with furniture and pictures, and this was evident during the visit. All personal items are listed in the individual care plans. Residents are offered the choice of having a lock and key for their bedroom, risk assessments are in place for this. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 16 All rooms have a lockable facility for the storage of personal items and valuables. Three residents said they felt this increased their independence by keeping personal papers themselves rather than handing everything over to the home. There is an ongoing maintenance programme and the home was found well decorated and maintained at this time. The home provides adequate attractive communal space. The communal rooms are well used and provide adequate communal space. There is a dining area, two lounge areas of a good size, one leading in to a conservatory. The dining area was both clean and well decorated, as were the two lounges and conservatory. The garden areas are well kept and a source of delight to the residents. One service user whose room looks out over the garden said “I watch everything that goes on out there and I feed the birds” and wave to the gardener”. There are toilet, washing and bathing facilities to meet the needs of the service users, including showers and assisted baths. Specialised equipment to encourage independence is provided e.g handrails in bathrooms, hoists, wheelchairs and lifts to all areas of the home. A call bell facility is in place and during the inspection the call bells were found in reach of the residents. Those residents that can’t physically ring for help, have an appropriate risk assessment in place. The lighting in the home is of domestic quality and there are above bed lights as well as the main ceiling lights. Beds and chairs were seen to be placed appropriately for maximum benefit of those wishing to read. Water temperatures are controlled and monitored monthly and a record kept. Random temperatures were taken and were of the recommended level. Five residents said they were encouraged to bring in items of furniture and pictures, one resident loves dogs and she has many treasured photographs of dog’s belonging to friends and staff, she also said that the staff are her family. Polices and procedures for infection control are in place and are updated regularly. The home was clean and free from offensive odours on the day of the inspection. Good practice by staff was observed during the day and there were gloves and aprons freely available in the home. Sluice areas and equipment was clean and hygienic. A recommendation is that all bed barriers are routinely cleaned and that the cleaning schedules in individual rooms are kept up to date. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 30. Staffing levels were adequate to meet the assessed needs of the residents. The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their designated roles. Staff are provided with training pertinent to meeting the needs of the residents and to do their jobs competently. EVIDENCE: The staffing levels in the home are adequate to meet the assessed needs of the service users. The staff on night duty for delivering care was two trained and seven carers, which the staff said they felt was adequate, however it was mentioned that at times they felt they needed extra staff between the hours of 6 am and 8 am. This has been tried before and the manager will be monitoring closely to ensure the staffing levels are sufficient for the needs on a regular basis. The day shift comprised of sixteen carers, eight on each floor, two registered nurses, one on each floor and the management team in their roles between the hours of nine to five Monday to Friday. The staff spoken to said they felt the staffing levels were sufficient to ensure a good standard of care. They also said that if more staff were needed for a poorly resident it would be provided. One resident said that she never had” to wait long if she rang for assistance” and during the inspection there was a prompt response to all call bells. Two relatives said they had no concerns regarding the level of staff, they also mentioned that the staff seemed to stay and so they got to know them. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 18 One relative mentioned that he noticed that staffing levels seemed lower at weekends, but did not think it affected the care given to residents. Staff informally interviewed were able to discuss the training they had received whilst working in the home. Five night carers said they had had training in moving & handling, infection control, fire safety, and also study sessions on different illnesses that they care for in the home. She had had her induction training and she felt “well supported by the senior staff and that the training and supervision she had received had enabled her to give a good standard of care”. The training record for nights was seen and evidenced that staff receive training and supervision on a regular basis. A day carer said she felt that the standard of care in the home is high and that the senior staff were pro active in providing relevant training. Another carer said that the induction training she received was a good introduction to the home and the job. The induction programme was discussed and examples seen. All new staff receive an induction and foundation training in line with the National Training Organisation and fully meets the specifications and targets set by the National Training Organisation. Staff training is on-going. Three members of staff said that the training in the home is “very good, lots of it” and that they receive regular supervision. The staff feel that they are well supported and the training available to them helps them meet the needs of the service users in the home. There is on-going enrolling on the NVQ programme and all staff receive encouragement and support to enrol. The NVQ assessors have their own office and are able to work alongside the carers on a daily basis. The home also have trainee nurses via the University of Brighton working for their experience placements. One carer said she was going to enrol shortly, and that she had been “hesitant at first, but feels with the support given she will be able to do it”. One resident said “ the staff are very good, nothing is too much trouble” another said “ staff are very helpful” and ”they know how to look after me”. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36, 37 & 38. All staff receive formal supervision at least six times a year and this promotes good practice and provides a support system for staff. There are policies and procedures in place that safeguard residents’ rights and best interests. The environment and the working practices of the staff protect and promote the residents health, safety and welfare needs. EVIDENCE: The home has produced a training programme that is suitable for the staff and for the needs of the residents. The staff training schedule displayed a wide variety of training for the staff. Staff are supported by the management team on a daily basis and more formally through supervision. Staff spoken to confirmed they received Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 20 supervision and annual appraisals. They are in a written format and copies are kept in the staff files. The manager confirmed and the staff training records show that all staff are kept updated on the Health and Safety policies, the manual is available to all and clearly defined. Staff again, were able to discuss the training they received and said that the manager kept them up to date with changes to policies in connection with their job description. The home has in-house trainers for the mandatory training of moving and handling, food hygiene and health and safety. The staff are issued with certificates yearly for Manual Handling, twice yearly for Fire Safety and Food and Hygiene. The home has a comprehensive set of policies and procedures, which govern the running of the home. All records in the home are up-to-date, accurate and held in accordance with the requirements of the Data Protection Act 1998. Records are kept in lockable cabinets in the office. The home has policies and procedures on dealing with confidential records as a point of reference for staff. All relevant legislation and procedures are in place in respect of Health and safety. Good practice was observed throughout the inspection in respect of the safety of residents when being moved and transferred. Fire precautions were seen to be adhered to and staff showed a good knowledge of the mandatory training that is required. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 4 3 3 x x x x x 3 3 4 Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 7 9 15 26 Good Practice Recommendations That the method of recording and care planning is reviewed to ensure that all the paperwork is consistent and correct. That the audit for medication administration is continued. That a method of reminding residents of the meal they have ordered is introduced. That all bed barriers are cleaned routinely. Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Inglewood H59-H10 S14005 Inglewood V222904 190705 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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